CLIA lab

CLIA 52D1105753: Scandinavian Court Assisted Living

Denmark, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 52D1105753 belongs to Scandinavian Court Assisted Living in Denmark, WI.

Certificate of Waiver, effective September 28, 2025, expires September 27, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
September 28, 2025
Certificate expiration
September 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 28, 2009
Facility type
Assisted living facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
52D1105753
Lab name
Scandinavian Court Assisted Living
Address
346 Scandinavian Ct, Denmark, WI 54208
Phone
(920) 863-5362
Fax
(920) 863-3942

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Denmark, WI

Related

Questions

What is the CLIA number for Scandinavian Court Assisted Living in Denmark?

52D1105753, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Scandinavian Court Assisted Living hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D1105753 expire?

The CMS file lists September 27, 2027 as the certificate expiration date; the certificate took effect September 28, 2025.

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